Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure
Aim: to determine the method of uterine closure in the planned caesarean section, optimizing its involution and reducing local inflammation. Material and methods: a prospective randomized controlled trial. 135 pregnant women undergone planned caesarian section were examined. We applied different met...
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Scientific Сentre for Family Health and Human Reproduction Problems
2017
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oai:doaj.org-article:d551ac42ed7046baa6b0e4b8c8f50c622021-11-23T06:14:38ZFeatures of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure2541-94202587-959610.12737/article_59e85bfc248a72.45112631https://doaj.org/article/d551ac42ed7046baa6b0e4b8c8f50c622017-09-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/427https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Aim: to determine the method of uterine closure in the planned caesarean section, optimizing its involution and reducing local inflammation. Material and methods: a prospective randomized controlled trial. 135 pregnant women undergone planned caesarian section were examined. We applied different methods of uterine closure: in Group 1 (36 women) - one-row continuous blanket Reverdin's suture; in Group 2 (39 women) - one-row continuous Schmieden's suture; in Group 3 (28 women) - two-row continuous Schmieden's suture; and in Group 4 (32 women) - separate two-row sutures (2nd row - inverted U-shaped). Results. The most aggressive in the severity and duration of the local inflammatory reaction is Schmieden's technique. A two-row suture has the most pronounced delaying effect on the uterine involution. We found a one-row continuous blanket Reverdin's suture to be the optimal method of uterine closure. Conclusion: In comparison with Schmieden's sutures (one- or two-row) or with a two-row interrupted suture, using a one-row continuous blanket Reverdin's suture in uterine closure after planned caesarian section is characterized with quicker involution of the uterus and suture areas above it, with less expressed and shortened inflammation, and with fewer complications.V. A. KramarskiyY. V. TrusovScientific Сentre for Family Health and Human Reproduction Problemsarticlecesarean sectionsuturesincision of the uterusScienceQRUActa Biomedica Scientifica, Vol 2, Iss 5(1), Pp 20-25 (2017) |
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cesarean section sutures incision of the uterus Science Q |
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cesarean section sutures incision of the uterus Science Q V. A. Kramarskiy Y. V. Trusov Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| description |
Aim: to determine the method of uterine closure in the planned caesarean section, optimizing its involution and reducing local inflammation. Material and methods: a prospective randomized controlled trial. 135 pregnant women undergone planned caesarian section were examined. We applied different methods of uterine closure: in Group 1 (36 women) - one-row continuous blanket Reverdin's suture; in Group 2 (39 women) - one-row continuous Schmieden's suture; in Group 3 (28 women) - two-row continuous Schmieden's suture; and in Group 4 (32 women) - separate two-row sutures (2nd row - inverted U-shaped). Results. The most aggressive in the severity and duration of the local inflammatory reaction is Schmieden's technique. A two-row suture has the most pronounced delaying effect on the uterine involution. We found a one-row continuous blanket Reverdin's suture to be the optimal method of uterine closure. Conclusion: In comparison with Schmieden's sutures (one- or two-row) or with a two-row interrupted suture, using a one-row continuous blanket Reverdin's suture in uterine closure after planned caesarian section is characterized with quicker involution of the uterus and suture areas above it, with less expressed and shortened inflammation, and with fewer complications. |
| format |
article |
| author |
V. A. Kramarskiy Y. V. Trusov |
| author_facet |
V. A. Kramarskiy Y. V. Trusov |
| author_sort |
V. A. Kramarskiy |
| title |
Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| title_short |
Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| title_full |
Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| title_fullStr |
Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| title_full_unstemmed |
Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| title_sort |
features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| publisher |
Scientific Сentre for Family Health and Human Reproduction Problems |
| publishDate |
2017 |
| url |
https://doaj.org/article/d551ac42ed7046baa6b0e4b8c8f50c62 |
| work_keys_str_mv |
AT vakramarskiy featuresofinvolutionandlocalinflammationofuterinetissuesafterplannedcaesariansectionatvariouswaysofuterineclosure AT yvtrusov featuresofinvolutionandlocalinflammationofuterinetissuesafterplannedcaesariansectionatvariouswaysofuterineclosure |
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1718417036631080960 |